BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HARMONIC ACE

    MDR report key: 2862282 · Received December 5, 2012

    Report

    Report Number
    2862282
    Event Type
    Malfunction
    Date Received
    December 5, 2012
    Date of Event
    November 19, 2012
    Report Date
    December 5, 2012
    Manufacturer
    ETHICON ENDO-SURGERY, LLC
    Product Code
    LFL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SQUEEZED THE TRIGGER AND NOTHING HAPPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HARMONIC ACE INSTRUMENT, ULTRASONIC, SURGICAL LFL ETHICON ENDO-SURGERY, LLC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *